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[:::::StAN:JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> Changes to EnvisionConnect by CERS Integration Wizard <br /> Date run: 2/14/2017 <br /> Submitted on: 2/9f2017 9:51:17ARJ'1 CERS ID: 10724464 <br /> Submitted by: Marc Schamp Email: ihop1731@sbcglobal.net <br /> Facility ID in CERS: incorrect <br /> Information prior to CIW processing Information after CIW processing CERS <br /> OWNER INFORMATION (current EC database) (current submittal) field <br /> Number of Facilities for this Owner: 1 <br /> Owner ID OWOOO1391 <br /> Owner name C & H PARTNERS, INC C&H Partners Inc, dba IHOP1731 111 <br /> Mailing address 5 ESTATES DR 5 Estates Dr 113 <br /> MILLBRAE, CA 940301564 Millbrae, CA 94030 114, 115, 115 <br /> Work phone 650-992-5894 112 <br /> FACILITY FILE INFORMATION <br /> Facility ID FA0012724 <br /> Facility name IHOP#1731 C & H Partners Inc, dba IHOP 1731 3 <br /> Site address 1150 E YOSEMITE AVE 1150 E Yosemite Ave 103 <br /> City MANTECA Manteca 104 <br /> ZIP code 95336 95336 105 <br /> Facility phone 209-825-3950 209-825-3950 102 <br /> Facility mailing address 5 ESTATES DR 1150 E. Yosemite Ave 108a <br /> MILLBRAE, CA 940301564 Manteca, CA 95336 108b. 108c, 108(1 <br /> BILLING INFORMATION <br /> Contact name IHOP#1731 Marc Schamp 140 <br /> Address 5 ESTATES DR 1150 E. Yosemite Ave 143 <br /> MILLBRAE, CA 940301564 Manteca, CA 95336 144, 145. 146 <br /> Contact phone Not Specified 209-825.3950 141 <br /> Contact email ihopl731@sbcglobal.net 142 <br /> Mail invoices to Facility <br /> Program record [ ] HMBP [ ] SQG HW [ ] LQG HW [ ] RCRA HW New PR#: <br /> created [ ] Tiered permit j ] APSA [ ] CalARP j ] UST New PE: <br /> Assigned to: <br /> Please bill: [ ] full calendar year [ ] prorate this calendar year j ] next calendar year [ ] exempt from billing <br /> Processed through CERS Integration Wizard by: �AA Date; <br /> Accounting: Reviewed by: Lb Date: Clerical: [ ] File [ ] Relabel file [ ] Create new file <br /> [ ] Acct billed [ ] Surcharge verified By: Date: <br /> ACTIVE PROGRAM RECORDS PRIOR TO PROCESSING THROUGH CIW <br /> Record ID Employee name Status Reactivated Inactivated <br /> 1626-RESTAURANT/BAR 101 +SEATS PR0516636 KADEA'NNE LINHARES Active [ ] [ <br /> 1919-HMBP-0O2 Only Food Facility 1 chem units PR0541574 KADEANNE LPNHARFS Active <br />